Primary finding
Probable cause
An engine compartment explosion during takeoff; the origin of the explosion could not be determined during postaccident examination due to extensive fire damage.
Investigator assessment
Analysis narrative
After about 1 hour of flight, the helicopter crew began conducting landing refresher training with the use of night vision goggles. The copilot completed a single approach and three landings to the 5,015-ft runway, with one landing at the beginning, one near the middle, and one near the end. The copilot then lifted the helicopter off the ground once more, hovered, and began a transition to forward flight with forward cyclic and a slight amount of increased collective. Both crewmembers then heard and felt a loud explosion from the vicinity of the engine compartment. Engine sound increased rapidly, and the pilot mentioned a possible low rotor speed condition. He believed that the copilot then lowered the collective slightly in response to his statement, and, while doing so, the noise increased and helicopter oscillations began. The helicopter became almost uncontrollable, the pilot took the controls (which the copilot positively relinquished), and the copilot made two "mayday" calls. The pilot regained sufficient control to land the helicopter beyond the departure end of the runway. As the helicopter cleared the runway, the pilot observed an orange glow on the snow-covered ground, and, after landing, the copilot attempted to put out the engine compartment fire with a small onboard extinguisher, without success. The local fire department arrived about 10 minutes later and extinguished the fire, but much of the engine compartment had been consumed, and the helicopter structure below the engine compartment had been thermally compromised and substantially damaged. The were no cockpit image or flight data recorders onboard the helicopter; however, there was a vehicle and engine multifunction display (VEMD) unit. As recorded by the VEMD and confirmed by the pilots, about the time of the explosion, a red "GOV" light illuminated in the cockpit, which would have indicated a "stepper motor or resolver failure" in the fuel control. Subsequent examinations of the engine, components, and wiring did not reveal the source of the explosion, but did note charring and evidence of high heat. The engine's free turbine blades were also found shed from the turbine disk at a manufactured overspeed notch in the blade roots as designed to prevent a subsequent turbine disk rupture. Of the fuel control items that could be examined, no preexisting anomalies could be found. However, their proximity to extreme heat could have triggered the red GOV light and the loss of automatic fuel metering. The helicopter's collective twist grip mechanical stop had been upgraded with one that automatically freed the grip once the red GOV light illuminated. The helicopter did not have an automatic fuel control backup system; thus, fuel flow and, therefore, engine output had to be manually controlled by the pilot once the red GOV light illuminated. Although not the cause of the accident, the crew's inability to recognize that they were operating in a manual fuel control regime likely exacerbated the situation. Changes in collective position would have resulted in changes of engine and rotor rpm, and the inflight excursions and later engine overspeed upon landing were the likely result of collective movement without fuel control compensation. Further examination of the engine also revealed impact deposits on the axial compressor blades and gas generator turbine blades. The material was likely from the engine's sand filter and cowling, indicating that the engine compartment fire was ongoing while the engine was still rotating, with a flame established in the combustion chamber. The fact that the fire continued after engine shutdown until the fire department arrived and put it out indicates that, regardless of the crew's actions, the structural damage to the helicopter still would have occurred.
Source record
Factual narrative
HISTORY OF FLIGHT On January 17, 2014, about 2040 eastern standard time, a Eurocopter AS350B3, N578AE, operated by U.S. Customs and Border Protection (CBP), was substantially damaged following a reported engine compartment explosion at Houlton International Airport (HUL), Houlton, Maine. The two commercial pilots were not injured, and night visual meteorological conditions prevailed. The helicopter was operating on a company flight plan for the local public use flight. According to the copilot's written statement, the helicopter had just returned to HUL after a search and rescue mission, with the copilot flying. The crew then commenced takeoff and landing practice for night flight and night vision goggle (NVG) recurrency training. The copilot stated that he had completed a single approach and three landings to runway 23, with one landing at the beginning, one near the middle, and one toward the end. He then took off again, hovered, and began a transition to forward flight with forward cyclic and a slight amount of increased collective. As he was beginning to apply cyclic, he heard and felt a loud explosion from the rear of the helicopter, followed by a severe vertical vibration, and the engine noise became "very loud." The helicopter began to experience cyclic controllability problems along with some yaw instability as well. The pilot in command (PIC) called out the rotor rpm warning horn, but the copilot was unsure whether it was constant or intermittent due to the engine noise. Helicopter control continued to rapidly decay for the next 5 to 10 seconds, at which time the PIC took control. The copilot also noted that he subsequently made two mayday calls over the radio [per the PIC, via the footswitch], and almost immediately, the helicopter began "severe" pitch and roll oscillations. During some of the oscillations, the left side door came open, but the copilot was able to get it closed again. About that time, he also noticed that the red "GOV" light [manual mode engaged and loss of automatic governing failure] was illuminated. After 10 to 20 seconds, the PIC was able to regain some control of the helicopter, there was a decrease in engine and rotor noise, and the PIC was able to land the helicopter beyond snow banks at the end of the runway. After performing an emergency shutdown, the PIC said he thought the helicopter was on fire, and although the FIRE light was not illuminated, there was an orange glow reflected in the snow. Upon exiting the helicopter, the copilot saw flames coming from the engine compartment; he tried to extinguish the fire with a portable fire extinguisher, but without effect. The local fire company arrived about 10 minutes later and subsequently extinguished the flames. According to the PIC, after the explosion, the main rotor (NR) overspeed warning sounded and a vertical vibration developed. At that point, the helicopter had not yet begun yaw oscillations, so the PIC felt they still had tail rotor thrust. He could not quite hear if the NR warning was intermittent or continuous (low NR) and told the copilot they could have low rotor rpm. He believed that the copilot then lowered the collective slightly in response to his statement, but the noise increased and the oscillation began. The PIC then took control of the helicopter. As he did, he observed two amber caution lights and what he believed were two red warning lights. Severe vertical vibrations and almost uncontrollable yaw oscillations continued, as did a high NR warning. The PIC then focused on trying to keep the helicopter's skids level, not hitting the ground, and not flying out of ground effect. He could not ascertain airspeed, and there were three instances when he estimated that the helicopter entered 30- to 40-degree banks. Throughout the event, the PIC could not adjust collective without inducing "extreme" attitude excursions. He also could not maintain the helicopter in a position where he could roll off the throttle. Then, after about 30 seconds, the attitude excursions began to "calm down," and the pilot was able to land the helicopter beyond the snow bank. As the helicopter touched down, the PIC noted that the red FIRE light was not illuminated, and that the original two red lights he saw were actually an amber ENG CHIP light and the red GOV light. After the event, and reviewing training materials, the PIC was able to estimate that the amber lights he saw were the FUEL P and DOOR lights. The PIC further stated that the use of NVGs did not hamper his vision in the cockpit. AIRCRAFT INFORMATION The 2003 Eurocopter AS350B3 helicopter was powered by a single Turbomeca, Arriel 2B engine driving a three-blade main rotor system which rotated clockwise (viewed from above), and a conventional tail rotor. It had skid-type landing gear and dual flight controls, and had been updated with night vision goggle (NVG)-compatible cockpit lighting. Engine speed was governed by a "Digital Engine Control Unit" (DECU), a single-channel fuel governor design that performed fuel regulation, engine parameters management and failure recording; a Hydro-Mechanical Unit (HMU) with manual backup system that included a pump/metering unit; and electrical and mechanical links between the helicopter, the DECU and HMU. The helicopter's collective twist grip had been modified. The mechanical stop of the original twist grip was replaced by one that automatically freed the grip and allowed the pilot to manually modify fuel flow rate when the red GOV light was illuminated. If the red GOV light illuminates, an aural "GONG" is triggered. Per Eurocopter Letter-Service No. 1702-71-05, "In the event of a total…governor failure detected by the DECU, the engine fuel flow is frozen at its value at the moment of the failure. The engine power is therefore maintained. In stabilized flight, there is no urgency to modify the flight parameters and to adjust the twist grip. On the contrary, rapidly reducing collective pitch, without a synchronized reduction of the twist grip, will create rotor overspeed." There were no flight or cockpit voice recorders on the helicopter. There were, however, some recorded maintenance parameters within a "Vehicle and Engine Multifunction Display" (VEMD) and the DECU. The VEMD had a multifunction screen installed on the instrument panel designed to manage essential and non-essential vehicle and engine data. The VEMD was a dual-channel system that could store flight reports, failure messages with associated parameters, and undated over-limit reports. Recordings would begin when Ng (engine gas generator speed) increased to 10% or when NR (main rotor rotational speed) increased to 70 rpm, and ended, or were "closed out" when Ng decreased to 10% or NR decreased to 70 rpm. The DECU stored numbered failure blocks. AIRPORT INFORMATION Runway 23 was 5,015 feet long and 100 feet wide, at an elevation that averaged about 485 feet. METEORLOGICAL INFORMATION HUL weather, recorded at 2053, included clear skies, wind from 200 degrees true at 5 knots, visibility 10 statute miles, temperature 1° C, dew point 0° C, and an altimeter setting of 29.83 inches Hg. WRECKAGE AND IMPACT INFORMATION According to the responding Airbus investigator, although the helicopter had been moved to the hangar before his arrival, observations provided by CBP indicated that the helicopter had initially come to rest about 250 feet beyond the end of runway 23. The pieces of engine cowling that were not consumed by the fire had been removed and were in the hanger with the helicopter. The majority of the helicopter structure was not burned or damaged from the event. The forces on the airframe at the time of landing were reported to be relatively normal. There were no reported rotor blade strikes. All of the dynamic and static components of the helicopter were accounted for. Main rotor and tail rotor drive train continuity were confirmed. The eme